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Home My WebLink About1120 GLENEAGLES TERR - Building PermitsA,°DP�OFB"0"a 1120 GLENEAGLES TR ANERS NAIIE IF KNOW CARMELLA AL FAROU ADDBES4 1.120 GLENEAGLES TER COSTA MESA,CA 92627 APPL. YNIlNO ADD11E54: IARCNRECT OR ENONFER: ANCA. OR ENO: S ADDRESS: mm, UNIT, coNmAcarswLNE: HOYT ROOFS (714)632-6636 CONMACTf1RS MAILING 740 VAN BUREN ST ADDS% PLACENTIA CA uc.ND.: 606111 92870 uNT: E LICENSED CONTRACTORS DECLARATION: I thereby affirm under "only of Perjury dant I am lirorned under Womione of Chapter e ICe°jy�{ya°�l1C�l.. 9 wish Section ]000) d Unison 3 0l the Baena. and Professions Cabnor, end mRace. a in Nil base and effect. /eolmh.m N-.060517 LIC. CLASS: C-39 LIC. NO.; 606111 EXP: 00/00 DmV—" contractor: OWR DECLARATION: I Mreby alfim under W.M d wrNry that sen exempt from Iba Cammctas litems law la the ISedion ]031.5 Business and Professions Code: Any city a county which reydma a panne to mmhuel, after, improve. l any structure, prior b kit eeuame, abo reauir.IM applicant la such pemdt l0 Db a spited eWemant Mm M a endlnl to the porisions d Me Contractors License Lew (Chapter 9 (aanmencing with Becton ]O W) d Division 3 d tM Is.. and Professions Cab] or that he or she is .empl therefrom and IM basis fa Um alleged exemption. My violation of Section 7031.5 by any applicant for a permh wrbjeaa the applicant to a dvil penalty of not mere Ihn two hundred dollars 15500]). ❑ I, m owner d IM property or my employees with wegae m IME who compensation, will do the work, and IM structure is M Worried or offered for oda (Secben ]ww. Business aid Pmf.s'vea Coda: TheConloason License Lawdoss not appyto an owner of property who Wkde or inpmva i thereon. and who does such work pima rd or Mrself or through no or her own employees, prided that such improvements are not intended or offered fa safe. ff, however. IM Wilding or Mpreaemem is sotl within cos year of completon, this wnerbuikbr will Nwe the Ix den of erwiap he a star did not Wild or impeow fa Its Wrpaae of We). ❑ I, m owner of the propend. sat sedueivey, contreemg with licensed contractors b mnettat the project (Swicn 70114, Business and PMeai. Cade: The Contract. Loan. Law was not apply b as owner of property whe Wilde or ternaries Ihaneon and who contracts for such projects with a contreaons) licensed pursuant to the Cmusaws, License Law). ❑ I we exempt under Section: B. A P.C., far this reason: 1 da hereby teddy that I am aware d and underetand the re,uirenems of California Ibekh and Safety Cab Section 25505. 25533. and 25530. and Uut I or any future Wildieq asupent will I will not (dmle ale) .ed to canply win said coma cod. and IM repuimnerm for ME - .it for construction or modification ham IM Ai Win,Comics. fbsonfld constmdan appossiom are examof 1. th.s Dere: Applicant: WORKER'S COMPENSATION DECLARATION: I barely, allure under porosity of perjay, me d Me fdlawing dedaretios: ❑ I have ford mil mamba a ofthete rl om.nt to cell insure fa sakes' cprrrpensalipn, mprovided fa by Secsion 3]00 of 1M Labor Code, for the performance d the work fa which this penin is issued. 1-1 1 Mve and will maintain woM1em' mmpenaefon insurance. as assured by Scotian 3700 of to Lehr Code. or the pMamxm of the 7C mak fa whits this permit b issued. My waken' tom esmon imurence caner and policy num Wr we Cader SATE FUND EXPIRES Policy Number: 01/01/97 e section need net be canpleted if this weat is M one hundred ddbm /51001 or Ism.) ❑ I deer in Me performance d the mak far which Ihia pemk a loaned, 1 alaeD rM empty er0' person b only senna n n to iw to tba waters' oo opereetian b. d Caws., end agree Cert N I ehaM beconee mbpd to tM waken' comW noon prose d Section 3]00 of Ina Labor Code, I she1ll�ltodhwitl comply with Uewe prmvsw®. Dora: Applicant: v i_ �'—'��---�— Iny: Faflun b aacun wonteri compan cods. —swans, la unlawlm, and alWt ns!,/act n employs, to crlmisml Panafllis, end clot, flrw nes b are handrail thausend staffers (SIOg000), M eddldon W the cwt o/ canporeaWrt damgp t m peovMad for In S.Nm 3106 of Me L000r Cods, Wessel, eat Wkwor.y i I. CONSTRUCTION LENDING AGENCY: I hereby anion under Penalty of perjury fl m Isere 1, e emmmction andkeg agency No that mrfomance of the work fa whin the pemk is esued (Section 309]. Cy. C). LENDER'S NAME: LENDER'S ADDRESS: I ttdiy IMI I Moe read this appl'ca on and come that the above intammon is caned. I span Io comply with an dry and mussy adi.eass nil state him releting to buildup conmuctlora and Inanity amhor¢e repeeaentelym tithe any to enter upon the above-memiaeed prepay tainspeaionprrpwm. BRIAN HOYT D. 16 — --`! (5151480P) Wb,�iali g A SmmY Greer,Fre: Crary -Applicant: Pink-R.nue: Gddenead-M.aw CITY OF COSTA MESA — BUILDING PERMIT PERM NO: B 079959 PERMIT NO: B 079959 PLAN CHECK NO: N GOVT: N SUPP: N CONSTRUCTION TYPE: V—N PERMIT TYPE: STR PURPOSE: OTH JOB DESCRIPTION ; T/O RESEATH S REROOF W/COMP. 6 BUR SQ FT: 6,000 CLAIM VALUE: 6,000.00 CALC—VALUE: 6,000.00 GROUP OCC: R-3 / COMMENTS: SMOKE DETECTORS ARE REQUIRED AS PER 1994U.B,C. Z O N I N G R E Q U I R E M E N T S S E T B A C K S ------------ MAIN BUILDING ---------- ---------- ACCESSORY BUILDING--------- FRNT: FT IN REAR: FT IN FRNT: FT IN REAR: FT IN LEFT: FT IN RGHT: FT IN LEFT: FT IN RGHT: FT IN PARKING REQ: PROV: PARCEL: 42233310 ZNE: REF NO: PLANNING NOTES> C> r ill 9F iF ill dE 9E iF li dE 9E 9E dE dE dE.dE dE 9E 9E dF 9E 9E 9E ik 9E 9E fit dE ill 9E ill * 9E ilk ik dF 9t 9E iF 9E IE ik k * if i! 9i ill 9E tit * 9f jE ill i5 if ill * ink ill 9! * 9E * 9E d( -if ill dE ill * tit ie df dE iF dE 9E ilk df D E V 'E 'L O P M E N T S E R V I C E S R E Q U I R E M E N',TjS ZONING APPROVED BY DATE: BUILDING APPROVED BY DATE: APPLICATION ISSUED BY: DATE: �dAE *9E ie 9F 9EiEif9kiE9ElitSfiEiEiE*9E 9E lit 9E*9E 9�9f�3F�F3F3F��F�iE;fTF �f"iFiFiFST�F3F7F7fTFTFiFIF3F'if3F7FifielitiEiEiEfkdElitiE LEGALIZATION:N F E E S U M M A R Y STRUCTURAL' SEGMENT:Y BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/RES GRADING PERMIT 112,25 60 SMIP/NON—RES PLAN ISSUE FEE " BUILDING—DIV—> PERMIT ISSUE PLAN—CHECK TOTAL PAID DUE TOTALS ---- > 112.85 0.00 0.00 112.85 112.85 ,00 REVENUE DIVISION TOTALS--> COLLECTED: 112.85 OVER/SHOAT: 00 BLDG PMT PLUMBING ELECTRIC MECHANIC FIRE SMIP/TOT GRADING PLAN—CHECK 112.25 ,60 9F 9E 1E ill 9E 9E 1F ill ill ill 41E ill * *ill fit ill 1E 4lit *ill ill * dE 4 dF ik iF ill ill ill 1E 9E IS 15 if ill!! 9E k dE ill 9E ill *tit 9E ill * ill dE ill fit ill ill ill 1k ill * ill IE fit 3F ill lit ill fit ii if !E il1E ill i! 1E ill ill I N D I V I D U A L F E E B R E A K D O W N TYPE QTY D E S C R I P T I O N UNIT COST TOTAL COST SFR 6000 REROOF BY VALUE RESIDENTIAL NOZONE 1.00 6,000,00 END OF FEES 01 00217086-00217087 TOT 112.85 DATE: 10/14/95 TIME: 16:28 CONSTRUCTION AND PLANNING Date APPROVALS Permit# - � t Inspector - POO SPA '.APPROVALS Permit# ? Date. Inspector 1. Tgmporary Electrical Service or Pole 52. Pool & Equipment Location-: 2. mil Pipe-Uridrgrnd. 53, Steel Reinforcement 3. Electrical Conduit Utility-Undrgrnd. 54. Forms - 4. Electrical Conduit-Undrgrnd. 55. Electrical Bonding- , S. Steel Reinforcement 56. Rough Plumbing & Pressure Test 6.. Electrical LIFER Grnd. 57, APPROVAL TO COVER-GUNITE ' 7. Footings - 58. Electrical Conduit-Undrgrnd. 8. Foundation - 59, Gas Pipe, O Undrgrnd., Test 9. Water Pipe-Undrgrnd. 60. Backwash Lines, P -Trap, ❑ Undrgrnd. 10. Structural Floor System 61. APPROVAL TO DECK - 11. Property Sewer Line & House Connection 62. Backwash & Receptdr-Final' 12. Sewer Cap 63. Heater & Vent -Final -� 13. Roof Drains 64. Plumbing System - Final 14. Rough Plumbing 65. Electrical -Final - 15. Rough Electrical -Conduit 66. Solar System -Final 16. Rough Electric Wiring 67. Fencing& Access Approval - - 17. Rough Wiring Sign 68. APPROVED FOR PLASTERING 18, Rough Electrical -T Bar Ceiling 69. POOL/SPA SYSTEMS FINAL 19, Rough Heating & Air Conditioning FIRE DEPT. REQUIREMENT - APPROVALS Permit # 20. Rough Factory Fireplace - 21. Ducts, in Structure70. Underground Hydro - 22. Ducts, Ventilating 71. Product Piping OGas OOil 23. Gas Pipe -Rough & Test 72. Underground Flush 24, Roof Framing 25. Roof Sheathing74.. 26. T -Bar Ceiling (Structural) & Monocoat 73. Undergrnd. Storage Tank OGas ❑Oil Overhead Hydro 75. Dry Chemical - 27. Frame and Flashing 76. Dry Staridpipe 28. Lathing & Siding 77. FIXED SYSTEM FINAL 29. Insulation 78, FIRE PREV. FINAL 30. Drywall Nailing - HEALTH DEPT. REQUIREMENT 31. Plaster Brown Coat - 79. FINAL INSPECTION - 32. Electrical Power Meter -Final _ - 80. FOOD CERTIFICATE ISSUED 33. Final Electric - - Notes: - 34. Final Heating & Air,Conditioning 35. Final Gas Pipe -Test ' 36. Hood or Canopy - 37. Final Factory Fireplace - 38. Final Plumbing 39. Water Service -Final - 40. Gas Service -Final -' - 41. Solar Domestic -Final 42. Backflow Preventer- 43. Backflow Irrigation - 44. Landscape Irrigation System, - - - 45. Sound Attenuation 46. Handicap Regulations 47. FINAL STRUCTURE & BUILDING 48. FINAL PLANNING ------- ___49. 49.Electric Release to Edison 50. Gas Release to Southern California Gas Co -' 51. CERTIFICATE OF OCCUPANCY No Date (714) 754-5273 • Fax (714) 754-4856 • www.ci.costa-mesa.ca.us 77 FAIR DRIVE, COSTA MESA, CA 92626 BUILDING PERMIT Job Address: 1120 GLENEAGLESTR Suite: Vicinity: KITCHEN Parcel Number: 42233310 Zoning: Status: ISSUED Applied: 09/04/2001 Issued: 09/04/2001 Applicant: AL-FAROUK, KAMILA Z ISSUED BY: Address: 1120 GLENEAGLES TER - -,i•,- - ,Phone: - COSTA MESA, CA Zip: 92627 , Owner: AL-FAROUK, KAMILAZ Address i 1120 GLENEAGLES TER - ,. �. Phone: i � ;COSTA MESA, CA - - Zip: 92627 - Contractor: OWNER -BUILDER Address: Phone:,.= Zip: " - • License: 0 - Arch _ - Eng: Address: Address" ' ` Phone: - --- - Phone: - Zip: License: .License: SCOPE OF PERMIT - ,- LEGALIZE NEW WINDOW IN KITCHEN OF EXISTINGSINGLE FAMILY RESIDENCE.,'' -� Plan Check: $0.00 Permit:, $23.50 SMIP Res: $0.50 SMIP Com: $0.00 Other: $23.50 Inspection: $0.00 Total: $47.50 SETBACKS_ i MAIN STRUCTURE'Front 0-0 ACCESSORY -Front . 0- 0 PARKING Existing: -0 NOTES: FEE SUMMARY Calc Valuation: $500.00 Claim Valuation: $500.00 PLANNING & ZONING Rear, 0-0 Left 0-0 Right. 0-0 - Rear 0-0 Left 0-0 Right 0-0 Required: 0 Proposed: 0 NOTICE: The work authorized by this permit shall comply with all applicable handicap access requirements under California statutes and related regulations. (Ord. No. 92-28, § 1, 12-21-92) EXPIRATION: This permit shall automatically expire and become void if work is not commenced within 180 days, or if work is suspended or abandoned for a period of 180 days. INSPECTIONS: In order for the work authorized under this permit to be considered legal, such work must comply with all applicable codes, and all required Inspections and final approval must be obtained. Failure to obtain inspections and final approval will result in the expiration of this permit. FOR INSPECTIONS CALL: (714) 7545626 2446-46(6/00) DECLARATIONS WORKERS' COMPENSATION DECLARATION: I hereby affirm under penalty of perjury one of the following declarations: I ❑ f I have and will maintain a certificate of consent to self -Insure for workers' compensation, as provided for by section 3700 of the Labor Code. for the performance of the work for which this permit Is issued. ❑ 1 have and will maintain workers' compensation Insurance, as required by section 3700 of the Labor Code, for the performance of the work for which this permit Is issued. ' My workers' compensation Insurance carder and policy number are: Carder: Policy Number: (This section need not be completed if the permit /s valued atone hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions o1 Section 3700 of the Labor Code, I shall forthwith comply with these provisions. Applicant Signature: Date: WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL AND SHALL SUBIECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARE (Sf00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. LICENSED CONTRACTORS DECLARATION: I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Is in full force and effect. Lic. If Class If Contractor's Signature: Date: CONSTRUCTION LENDING AGENCY: ❑ 1 hereby affirm that there is a construction lending agency for the performance of the work for which this permit is Issued. (Sec. 3097, Civil Code). Lenders Name: Lenders Address: Signature: Date: OWNER -BUILDER DECLARATIONS: I hereby affirm that under penalty of perjury that I am EXEMPT FROM THE CONTRACTORS LICENSE LAW for the following reason (Sec. 7031.5, Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt therefrom and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a pertN' subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): is owner of the property, or my employees with wages as their sole compensation, WILL DO THE WORK, and the structure Is not Intended or offered for sale (Sec. ----7044, Business and Professions Code: The Contractors License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself,or herself or through his or her own employees, provided that such Improvements are not Intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for purpose of sale.). ❑ 1, as owner of the property, am EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS to construct the project (Sec. 7044, Business and Professions Code: The contractors License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for such project with a contractor(s) license pursuant to the Contractors License Laws.). ❑,el am exempt and r sec. IDat e-9. and Professions Code for this reason: Sign` ature: �5U0 es e-9. Owner ID verified by drivers license. ❑ Yes ❑ No Drtvers License'No'" Verification of Ownership by (type of document, i.e. - property tax bill or deed):` DIVISION OF INDUSTRIAL SAFETY PERMIT CERTIFICATION: ❑ 1 hereby certify that no excavation five (5) or more feet in depth into which a person is required to descend, will be made in connection with work authorized by this permit, and that no building structure, scaffolding, faisework, or demolition or dismantling thereof, will be more than thirty-six (36) feet high. (Chap. 3.2, Grp 2, Art 2, Sec. 341, Title 8, California Administrative Code). ❑ As owner -builder, I will not employ anyone to do work which would require a permit from the Division of Industrial Safety, as noted above, unless such person has a permit to do such work from the division. Signature: Date: Division of Industrial Safety Permit Number: HAZARDOUS MATERIALS AND EMISSIONS CERTIFICATION: 1 Will the applicant or present or future building Occupant need to file and certify a Business Plan for emergency response to release or threatened release of a hazardous material? ❑ Yes ❑ No (Section 25505 of the California Health and Safety Code requires, with some exceptions, that a Business Plan be filed with the Costa Mesa Fire Department by every business which has at any one time during a reported year a quantity of hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). _....._......_._.........._.........__ applicant ........_present ....................ildi.._......._____ntneed........_.__.___.._.........orm fo__._...................................................__............ _............._....................... ........... .......... _.......... _. 2 Does or will the applicant or present or future building occupant need to file a registration form for acutery hazardous materials? ❑Yes ❑ No (Section 25533 of the California Health and Safety Code, with some exceptions, requires registration with the Costa Mesa Fire Department by each business which at any one time has on hand a quantity of acutely hazardous materials equal to or greater than a weight of 500 pounds, or a volume of 55 gallons, or 200 cubic feet of compressed gas at standard temperature and pressure). ......................................................... _.............................................................................................. _.._..-._.___—__............................... _.._._........................................ -................................. ................ _........... _.................................. 3 Does or will theappplicant or present or future building occupant need to prepare an RMPP (Risk Management and Prevention Program for acutely hazardous materials)? ❑ Yes ❑ No (Section 25534 of the California Health and Safety Cade provides that the Costa Mesa Fire Department may require the preparation, certification and filing with the Fire Department of an RMPP by businesses which are required to register acutely hazardous materials with the Fire Department. ............................................................................................................................................................... _......................._................................................................. I ..................... ......__.............................................. ................. a If en RMPP Ls presently required, has Section 25534 of the California Health and Safety Code been fully complied with? ❑ Yes ❑ No ......._......._..........._..........._....pplica.............___.......__.........................................._....__.________...._._....._._........................................................_...............................................................................diff............... 5 Does or will the applicant or present or future building occupant require for the work which is the subject of this a plication aPPertnii for such construction Or modification from the South Coast Air Quality Management District or from any other air pollution control district or agency? � Yes LJ No (Section 65850.2 of the California Government Code requires that the requested information be furnished on applications for non-residential building permits). ..........—......._........_..............................................._..........._..................................................................................................................................................................................................................................................................................... 6 Will any pan of the facility to be constructed under this permit be within 1000 feet from the outer boundaries of a school? ❑Yes ❑ No (If yes", the facility must meet the requirement of Sections 25534 and 42303 of the California Health and Safety Code). ............... _........ _........ _......... _....... __........ _... .......... __... _.............................. ..__.____..___—__....._._...__.......................................................................... .......................................................................................... 7 If a permit from the South Coast Air Quality Management District or other air pollution control district or agency is required for the work which is the subject of this application, have all o1 the disclosures prescribed by California Health and Safety Code Section 42303 been made? ❑ Yes ❑ No .............._............... ........ _........ _........... _.......... _.._......... _.............................................................. ......__.................._._.___.........................................................._..___.......................................................................... ...................... 8 (If yes", attach certificate of compliance from the appropriate air pollution control officer). CERTIFICATE OF COMPLIANCE: I certify that under penalty of perjury the information given above is correct. I agree to comply with all state laws and city ordinances regarding Hazardous Materials and Emissions. Signature: Date: CERTIFICATE OF COMPLIANCE AND AUTHORIZATION OF ENTRY: I certify under penalty of perjury that I have read this application and state that the information given is correct. I agree to comply with all state laws and city ordinances relating to building construction, and authorize representatives of the City of Costa Mesa to enter upon the above-described property for inspection purposes. I agree not to Occupy or allow Occupancy of any building authorized by this permit until final inspection. And/Or Authorizetl A pllcant � y Date L / CODE I. INSPECTION TYPE PdTE INTMAu CODE INSPECTIONTYPE DATE IN7tnAL$ 1616 Fixed System Final Fire Prevention 206 Final Mechanical 1266 Pool Spa Final 208 Final Plumbing 200 Final Re -Roof 210 Final Electrical 201 Final Block/Retaining Wall 212 Final Fire Prevention 202 Final Factory Fire Place 220 Final Planning Approval 203 Final Sign 222 Final Site 204 Final Demolition 250 Final Building/Occupancy -Z n' OWNER WHALEN, Eugene DATE lU-et-oo JOB ADDRESS 1020 Gleneagle Terrace BUILDING PERMIT NO. 2 295 GENERAL CONTRACTOR Owner-Bldr. DESCRIPTION OF WORK Add Fam.Fan. to res. LOT TRACT FIRE ZONE VALUE $ �F- IR, `t�rCTIONS Signature Date GROUP I TYPE V ZONE R-1 SoilPERMITS SUBCONTRACTOR ISSUED Gas I Date I Number Signature Water Plumbing Rough Plumbing Prop. Swr. Line ❑ House Con.:0 Sprinkling System Miscellaneous Rough Heating and Air Conditioning Temporary Service or Pole Underground ❑ Power p Rough Wiringi ..(q , .6 Heating and Vent. Trenches p Forms ❑ Steel Remf. Floor System Bond Beam ❑ Steel Reinforce ❑ Sheathing Frame and Flash in Lathing—In Out,@//y/ Brown Coat St ral, Final Electric He.-ag, Vent., Refrig. and A.C., Final ' Plumbing, Final and Gas Test ❑ Electric, Final •/z 2 ' Building, Final .-....-.-_-- '/z -b _. -. 26295 / COSTA MESA BUILDING -SAFETY DEPARTMENT I P.O. BOX 1200 COSTA MESA, CALIFORNIA 925M For Applicant to Fill In Completely TYPE OR PRINT COSTA MESA, CALIFORNIA 1 A6h _ %7w // zo 4r "NEER !tiCl FFA/!- h ,)j67 AIC] NO. neon ID I I x ikj?A. w IC.FF t A' W DX/00 O O I NO. or BLOGG. / No..... FROM OF WORK SIZELLINO � y rK.-Il ROOMS EXTERIOR WALL --I ROOF I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IB COBBS= AND AGREE TO COM- PLY WITH ALL CITY ORDINANCES AND STATS LAWB RBGULATING BUILDING CONSTRUCTION. /fin SIGNATURE OF PERMITTER .u.<%��[-^^�� -- — AUTHORIZED AGENT OCT 28-66 001210# ****36.00 APPLICATION FOR PERMIT BUILDING For Office Use Only RECEIPT NO.IT NO �r"_�2/ RBC[jV�D,P67 RBCBIV DATE IReURD BUILDINGADDRESS FIRE ZONE TYPE GROUP '7 Z/ By DATE ZONING ZONE. NO. OP UGE OF NEW PLANS BUILDING I LEGAL 7 DESCRIPTION A. P. NO. NOTE: NO HAVE OVERHANG SHALL BE LESS THAN 80' TO SIDH a REAR P. L. EAVES ALLOWED (U. B. C. REQUIREMENT).. YARDS APPROVED YARDS APPROVED MAIN BUILDING ACCESSORY BUILDING d PROM ) ;/�jYPT�RHR FRONT �i (l FIC Fr. R. SIDE 2— FT. PT. L. SID JFr. FT. REAR FT. DISTANCE BHT. BET. MAIN e MAIN BLD ACCESS.BLDGS. VAR.# DATE C.U.P. APPROVED APPROVED DATE (! SQ. FT. THE AMOUNT SHOWN UNDER VALUATION IS FOR THE PURPOSE OF ESTABLISHING A PERMIT FEE ONLY. VALUATION PERMIT FEE � III 30LPLANcmrcK/, TOTAL FEE 41 3 COSTA MESA BUILDING -SAFETY DEPARTMENT P. O. BOX 917 COSTA MESA. CALIFORNIA For Anniicanf to Fill In Compl f/ely .3 Y i t' TYPE OR PRINT/ -O Taj % BUILDING ADDRESS 1120 Glenea le Terrace 34210- COSTA MESA. CALIFORNIA APPLICATION FOR PERMIT W. 1,� . 1I.:i'1 BUILDING For Office Use Only L, RECEIPT NO. P� MI OWNER 11E8UEO MAIL R cpivED BY DATE RECE1 ED DATE ADDRESS 3800 E. Coast Highway2� ( 'a I nN„ „ .. CITY Corona del Mar No.OR 3-422 ADD EISS RI:m CT TEL. 6.`k-',EYNEER Ge a Wiseman No. - OR 3-42 [ADDRESS COSTA MESA. CALIFORNIA FIRE �/ -' -' ZONE TYPE GROUP '- r CONTRACTORCorporation APPROVED BY DATE ei Coast Hi hwa ZONING ADDRESS 3800 E. _ CITY Corona del Mar ZONE NO. OF I PLANE �/ UEE OF N I BUILDING STATETEL. l 77�C! LIC. NO. NO. O 2O EBCRIPTION f L� SIZE NO. OF SLDOS. OF LOT X 100 Now ON LOT 0 A. P. NO. USE OF YARDS EVES EXISTING BLDG. APPROVED ALLOWED SETBACK LINE MON (ENTER LINE ST.) ENTER OF STREET REAR YARD FRONT T. IN. SIDE YARD I LEFT 5'0" I RIGHT 51011 R. SIDE FT. IN. DESCRIPTION OF WORK L. SIDE V�--IT. IN. -NE I X II ALTERATION I ADDITION REAR 3o 1 O FT. IN. REPAIR II MOVING I DEMOLISH I APPROVED DATEBY ® % 4 (O BUILNO. OF DING29 1 SIZE X 49 ROOMS STORIES EXTERIOR WALIStucco I ROOF Cedar Shakes - ERICOVERING USE OF BUILDING AND WORK TO BE PERFORMED Com lete Construction House Sq. Ft. 1450 Garage Sq. Ft. 420 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION FOR THE THE AMOUNT SHOWN UNDERtEES AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COM- PURPOSE Or ESTABLISHINGE ONLY. PLY WITH ALL CITY ORDINANCES AND STATE LAWS REGULATING VALUATION BUILDING CONSTRUCTION. SIGNATURE OF MaCCO COT OTAion /Z/�^��/L1/^'v S / PERMPERMITTE AGENT `/ PLANAUTHORIZED TOTA L,